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a0 Main <br /> Street, <br /> I et,1 Stockton, <br /> 95 1 2-2 1 Kee Urn ems each <br /> by <br /> 600 East Main Street, Stockton,CA 95202-2708 the 12`n of each month <br /> P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.orglehd <br /> <rPoa�s <br /> SE TA,,GE CLEANER'S PORT ,,� <br /> Company Name: 7 Report for the mo yeart-�11// <br /> a- <br /> Company Address: 136C�76?12 <br /> Signature <br /> Street Address City Zip Code <br /> All information submitted must be com ]etc, accurate, and legible <br /> DATE NAME OF BUSINESS OR (R)ADDRESS WHERE WORK WAS DONE GALLONS RESIDENTIAL NAME OF TREATMENT <br /> PUMPED PROPERTY OWNER PUMPED (G) GREASE TRAP FACILITY <br /> PLEASE INCLUDE STREET k, DIRECTION, STREET NAME AND CITY (C) CHEMICAL <br /> 3 ra �y9 aJ, Cav <br /> rJ <br /> 3a3s L`r - l�i�aa Gt). Sr�fe mad Cit <br /> 3 out m y t Ci <br /> City C P� <br /> Ci :92)0 /� S <br /> a a l rh SOSw <br /> Ci <br /> -C) (-1)C)z7CU')C3 pit Si c �- <br /> ��/'� Cityp' ch(� sm <br /> PIC. Cit <br /> U � m++P mcg Cit <br /> city S I V / <br /> Skndcw <br /> Ci <br /> City <br /> Ciry <br /> Cit <br /> City <br /> Ciry <br /> Cit <br /> EHD 42-04 <br /> -- ---- Septic/Cesspool Report <br />